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The CPT® Code 27535 refers to the open treatment of a proximal tibial fracture, specifically a unicondylar tibial plateau fracture. The tibia, commonly known as the shinbone, has two prominent ends called condyles, which are the medial and lateral condyles located at the proximal end. Tibial plateau fractures occur in this area and can extend into the articular cartilage of the knee joint, potentially affecting one or both condyles. This procedure involves surgical intervention to repair the fracture, which may include the use of internal fixation methods to stabilize the bone fragments. The surgical approach varies depending on whether the fracture is medial or lateral. For a medial tibial plateau fracture, a specific incision is made to access the fracture site, allowing for the removal of debris and proper alignment of the bone fragments. In contrast, a lateral tibial plateau fracture may utilize a different incision technique, often referred to as a limited hockey stick approach, to secure the fracture fragments with screws. The procedure is critical for restoring the structural integrity of the knee joint and facilitating proper healing, ultimately aiming to restore function and mobility to the patient.
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